The song’s first verse and pre-chorus fall in line with the circumstances of their relationship, which began in early 2017 before ending last October. During that time, Gomez suffered serious health problems due to her Lupus diagnosis, which The Weeknd seems to reference early on:

We found each other
I helped you out of a broken place
You gave me comfort
But falling for you was my mistake
I put you on top, I put you on top
I claimed you so proud and openly
And when times were rough, when times were rough
I made sure I held you close to me

Perhaps most surprisingly, he hints at trying to donate one of his kidneys to her, which Genius contributor EliasNasser breaks down in an annotation:

Other songs on My Dear Melancholy, may reference Gomez as well. In particular, the project’s last song “Privilege” features The Weeknd singing about a final goodbye to someone he loves:

Enjoy your privileged life
‘Cause I’m not gonna hold you through the night
We said our last goodbyes
So, let’s just try to end it with a smile

However, these lines could potentially be about Bella Hadid as well—who Weeknd also dated, had a privileged upbringing, and Weeknd alludes to on another song off the EP.

This isn’t the first time that the Bieber-Gomez-Weeknd love triangle has shown up in music. It’s been widely speculated that Bieber’s 2015 songs “Love Yourself” and “What Do You Mean?” were written about her, and The Weeknd seemed to taunt Bieber for stealing his former girlfriend on NAV’s 2017 song “Some Way”:

I just hit a lick, and I know you feelin' some way
I just took that chick, and I know you feelin' some way
She just want a nigga like me, you feelin' some way

We’ll have to wait and see if this latest development brings more drama to the surface.